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Organization

BEZANSON PSYCHOTHERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JENNIFER BEZANSON (CEO)
(971) 274-0189
Entity
Organization

Contact information

Practice address
12 SE 14TH AVE RM 102, PORTLAND, OR 97214-1404
(971) 274-0189
Mailing address
12 SE 14TH AVE RM 102, PORTLAND, OR 97214-1404
(971) 274-0189

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
10/15/2024
Last updated
11/12/2025
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